| NPI | 1558551507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: IA MD-46041) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-46041) |
| 207R00000X Internal Medicine (Licence: MA 243101) | |
| 207R00000X Internal Medicine (Licence: OH 35-097600) | |
| 207RH0000X Internal Medicine, Hematology (Licence: OH 35097600) | |
| 208M00000X Hospitalist (Licence: MA 243101) | |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2019-07-15 |